Document Type
Original Article
Abstract
Background: Complicated appendicitis (CA) refers to a condition when the appendix becomes gangrenous and has perforated, leading to different levels of peritonitis.
Aim: To compare laparoscopic and open appendectomy (OA) in managing cases of CA in Egyptian patients.
Methods: This prospective comparative work was performed on 50 individuals ranging in age between 24 and 60 years old, both genders, diagnosed with CA, high Leukocytic count, American Society of Anesthesiologists (ASA) I or II, delay time of diagnosis of appendicitis, pelvic collection diagnosed by ultrasound and Appendicular mass diagnosed by ultrasound or clinical after general anaesthesia and CA is defined as presence of perforated of gangrenous appendix with or without formation of abscesses. Individuals were categorized into two equal groups: the OA group, which underwent OA, and the laparoscopic appendectomy (LA) group, which underwent laparoscopic appendectomy.
Results: The incidence of superficial and deep SSI had been substantially higher in the OA group than in the LA group (P < 0.05). Regarding operating time, length of hospital stays, visual analogue score (VAS) and satisfaction, a substantial variation existed among both groups, higher in the OA Group (P = 0.000).
Conclusions: LA is a secure and effective surgical technique that offers significant therapeutic benefits compared to OA's results. Thus, we propose that LA be considered the preferred method for managing CA. Additional research is necessary to clarify its effectiveness in managing CA.
Keywords
Laparoscopic; Appendectomy; Appendicitis
Subject Area
General Surgery
How to Cite This Article
El-Nemr, Selim Abd El-Rahman; Tag El-Din, Mohamed Mostafa; and Abd El Gawad, Mahmoud Ebrahim Younes
(2024)
"Laparoscopic versus Open Appendectomy in the Management of Complicated Appendicitis,"
Al-Azhar International Medical Journal: Vol. 5:
Iss.
5, Article 5.
DOI: https://doi.org/10.58675/2682-339X.2407
